WNHA MEMBERSHIP

Name:    
Address:
City:       
State:      Zipcode:

Phone (optional): Email (optional):

Select one of the following:
New Membership
Renewal

Type of membership desired:
Student $5	Sustaining $50
Senior Citizen $5	Organizational $50
Individual $10	Benefactor $100
Family $20	Life Membership $500
Patron $30

I heard about the WNHA through (select as many as are applicable):
newspaper website visit to Discovery Center friend other

I am interested in volunteering:
Gift Shop
Park Stewardship
Special Events

Would you like to volunteer in any other way? We are in particular need of volunteers to run the gift
shop at the Discovery Center. Please share any comments with us:


Please print this form, enclose check made out to WNHA, and mail to:

Membership Coordinator, WNHA
John Lixey
24 Cedar Lake Rd.
Chelsea, MI 48118
                                                THANK YOU!